The purpose of this report is to provide an update on the work and role as well as the overall goals and actions taking place around behavioral health coordination and the policy board in the southern rural region of Nevada. The intent is to provide stakeholders as well as government and agency leadership with a detailed analysis of the need for continued collaboration between and among the local, regional, and state entities to better serve the southern region and counties. This report will also provide the state with an understanding of the strengths and needs, including gaps and barriers, for rural southern Nevada. The work of coordination and the policy board can enhance collaboration and coordination between rural counties and the State of Nevada. This report will also provide strategies for continued work in unifying and streamlining efforts around behavioral health as it relates to a myriad of other needs and aspects in rural communities. The importance of this work creates value in solutions and recommendations to address significant solutions for both the local and state individuals and stakeholders.